口内切口内镜辅助下行髁突骨折复位内固定  

Intraoral approach arthroscope-assisted replacement and fixation of mandibular condylar process fractures

作　　者：王继华[1] 吴森斌[1] 施素萍[2] 

机构地区：[1]江苏省南通大学附属医院口腔科,南通226001 [2]江苏省海门人民医院口腔科,海门226100

出　　处：《口腔医学》2007年第5期230-231,共2页Stomatology

基　　金：江苏省南通市自然科学基金资助项目(Z4010)

摘　　要：目的探讨内镜辅助下经口内行髁突骨折复位固定的可行性。方法经口内切口到下颌骨髁突外侧,辅以颊部小切口,利用内镜等特殊器械完成手术操作。结果复位固定3例患者,术后无面神经损伤,张口正常,咬合关系正常,咀嚼力正常。结论口内入路内镜辅助下行髁状突骨折复位与固定的方法具有安全、创伤小、疤痕小等微创外科手术特点。Objective To study the feasibility of intraoral approach arthroscope, cope-assisted replacement and fixation of mandibular condylar process fractures. Methods Through the intraoral approach to the outside of mandibular condylar process, and with a transbuccal stab incision, under the supervision of endoscope, the surgical manipulation was successfully performed. Results After the replacement and fixation in 3 cases, the occlusions and masticatory functions of 3 cases were good without injury of facial nerves and vestriction of mouth opening. Conclusion The method of intraoral approach arthroscope-assisted replacement and fixation of mandibnlar condylar process fractures has Minimal Invasive Surgery characteristics of safety, fewer morbidities, and acceptable scars.

关 键 词：髁状突骨折 关节镜(内镜) 复位固定 口内切口 

分 类 号：R782.4[医药卫生—口腔医学]